NCT06934564

De-Implementation of Low-value Testing in Patients Undergoing Low-Risk Surgery

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 16 (estimated)
• Sponsor: University of Michigan · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

This trial aims to evaluate the effectiveness of a multi-level, multi-component de-implementation strategy to reduce unnecessary preoperative testing. Sixteen Michigan Value Collaborative (MVC)/Michigan Surgical Quality Collaborative (MSQC) sites in Michigan will implement several tools that have been proven to reduce unnecessary testing at a single site, including clinician education, a decision aid, audit and feedback on performance, and a pay-for-performance incentive. The researchers believe that, through the use of these strategies, there will be a significant reduction in unnecessary preoperative testing during the intervention.

Conditions

• Breast Lumpectomy
• Laparoscopic Cholecystectomy
• Inguinal Hernia Repair

Interventions

Type	Name	Description
BEHAVIORAL	Active de-Implementation	During active de-implementation (3 months), the local team will distribute the strategy components (i.e., clinician education, decision support, evaluation, consensus building around perioperative testing pathways, facility-specific feedback, and a pay-for-performance incentive) at the local site.

Timeline

• Start date: 2025-04-01
• Primary completion: 2026-12-01
• Completion: 2026-12-01
• First posted: 2025-04-18
• Last updated: 2025-08-21

Locations

1 site across 1 country: United States